Take a look at the attached photo. You may notice that something just doesn’t look quite right about the facial expression – specifically the eye area. It appears as if the eyes are being pulled up from the sides and creating a very unnatural and unappealing look.

Most practitioners would agree after viewing this photo that this may be a classic example of poor technique for Botox injections. Currently, licensed medical professionals (Registered Nurses, Physician Assistants, Nurse Practitioners and Physicians) are the only personnel permitted to inject Botox Cosmetic. Current California legislation requires that those that aren’t the physician, practice under the direction of a physician with Standardized Procedures and Protocols. So this addresses who is permitted to inject Botox Cosmetic. However, the equally important question is who is qualified to do Botox injections? We would like to suggest that legal qualification doesn’t equate to good Botox injection technique and safety. For example, most consumers/patients believe that a physician administering Botox Cosmetic (or any injectable cosmetic products) provides a better outcome. As the photo below shows, this may not always be the case.

Read About All Celibre’s Facial Shaping Techniques

Celibre’s Los Angeles Botox injections program, celibre.com/botox


This is an example of what not to do with Botox and this person is NOT A CELIBRE MEDICAL BOTOX PATIENT.

When deciding on Botox injector, be an educated patient. Ask lots of questions about your injectors experience and qualifications, and make sure that you feel involved in the education process. You can also view our Botox before and after pictures (Celibre Medical patients).

So what went wrong? An experienced eye will notice that only the sides of the forehead are pulling up with very little movement to the middle of the forehead. The lateral (outside borders) of the eyebrows are pulling the lateral parts of the eyes up but doing little to the medial portion (inside) of the eyes. This then creates a very peculiar look. When only portions of an area of the face are treated (ex: the middle of the forehead), opposing muscles then become more active to compensate for the lack of movement or animation elsewhere.

An experienced Botox injector practitioner would be mindful of how to treat areas to minimize this effect but provide a very appealing look at the same time. Besides the correct Botox dosing, placement of the product is crucial in determining a good final result. This knowledge comes from knowledge of facial anatomy and skilled technique that is learned through training and experience. When injected with the correct technique and dosing, Botox can yield a very natural, appealing look.

So…to answer the question of who is qualified to administer Botox Cosmetic…our answer is training and technique, not just title.

Lori Haney, RN, MEP-C

Certified Medical Laser Safety Officer

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